Van Smith C, Jacobs J P, Burke R P
Division of Cardiovascular Surgery, Miami Children's Hospital, Florida 33155-4069, USA.
Ann Thorac Surg. 1998 Mar;65(3):842-4. doi: 10.1016/s0003-4975(98)00008-3.
We report the use of video-assisted thoracic surgery to plicate the diaphragm after phrenic nerve injury associated with an operation for congenital heart disease. Right diaphragm paresis developed in a cyanotic newborn girl with pulmonary atresia and intact ventricular septum after a right modified Blalock-Taussig shunt. Diaphragm plication was performed endoscopically and the patient recovered. Refinement of technique and instrumentation may allow wider application of video-assisted thoracoscopic plication of the diaphragm in neonatal and pediatric patients.
我们报告了在先天性心脏病手术相关的膈神经损伤后，使用电视辅助胸腔镜手术折叠膈肌的情况。一名患有肺动脉闭锁且室间隔完整的青紫型新生儿女孩，在接受右改良布莱洛克-陶西格分流术后出现右侧膈肌麻痹。通过内镜进行了膈肌折叠术，患者康复。技术和器械的改进可能会使电视辅助胸腔镜膈肌折叠术在新生儿和儿科患者中得到更广泛的应用。
